NPIMap

Organization Active NPI

Country Van Service Inc

  • Non-emergency Medical Transport (VAN)
  • Minneota, MN
National Provider Identifier
1346428166
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
VYW819 Issued in MN
Legal business name
COUNTRY VAN SERVICE INC
Practice address
700 North Monroe
Minneota, MN 56264
Phone
(507) 872-5300
NPI assigned
Feb 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul Erickson
Title
Owner
Phone
(507) 872-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X VYW819 MN Primary

Addresses

Primary practice location

700 North Monroe
Minneota, MN 56264

Mailing address

700 North Monroe
PO Box 117
Minneota, MN 56264

Other identifiers 1

IdentifierTypeStateIssuer
153546OtherMNMN DOT CERTIFICATE

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1346428166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NORTH MONROE",
            "address_2": "PO BOX 117",
            "city": "MINNEOTA",
            "state": "MN",
            "postal_code": "56264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NORTH MONROE",
            "city": "MINNEOTA",
            "state": "MN",
            "postal_code": "56264",
            "telephone_number": "507-872-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY VAN SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-872-5300"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "VYW819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN DOT CERTIFICATE",
            "identifier": "153546",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneota, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.